title: Nonoccupational postexposure HIV prophylaxis in sexual assault programs: a survey of SANE and FNE program coordinators.
abstract: This cross-sectional study describes sexual assault nurse examiner (SANE)/forensic nurse examiner (FNE) program practices related to HIV testing, nonoccupational postexposure prophylaxis (nPEP), and common barriers to offering HIV testing and nPEP. A convenience sample of 174 SANE/FNE programs in the United States and Canada was drawn from the International Association of Forensic Nurses database, and program coordinators completed Web-based surveys. Three fourths of programs had nPEP policies, 31% provided HIV testing, and 63% offered nPEP routinely or upon request. Using χ(2) and Fisher's exact tests, a greater proportion of Canadian programs had an nPEP protocol (p = .010), provided HIV testing (p = .004), and offered nPEP (p = .0001) than U.S.-based programs. Program coordinators rated providing pre- and/or posttest counseling and follow-up as the most important barrier to HIV testing, and medication costs as the most important barrier to providing nPEP. Our results indicate HIV-related services are offered inconsistently across SANE/FNE programs.
authors.forename: Jessica E
authors.initials: JE
authors.lastname: Draughon
authors.forename: Jocelyn C
authors.initials: JC
authors.lastname: Anderson
authors.forename: Bryan R
authors.initials: BR
authors.lastname: Hansen
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Sheridan
mesh_terms: D000328:Adult; D019380:Anti-HIV Agents / Q000008:administration & dosage*; D002170:Canada; D003430:Cross-Sectional Studies; D005260:Female; D053604:Forensic Nursing; D015658:HIV Infections / Q000517:prevention & control*; D006306:Health Surveys; D006801:Humans; D009738:Nursing Service, Hospital / Q000458:organization & administration* / Q000706:statistics & numerical data; D056990:Post-Exposure Prophylaxis; D011247:Pregnancy; D015397:Program Evaluation; D011902:Rape; D012749:Sexually Transmitted Diseases / Q000175:diagnosis; D011795:Surveys and Questionnaires; D014481:United States
chemical_list: D019380:Anti-HIV Agents
keywords: HIV post-exposure prophylaxis; forensic nursing; nonoccupational postexposure; prophylaxis; rape; sexual assault